A 27-year-old woman develops severe insomnia, agitation, persecutory delusions and auditory hallucinations 1 week after giving birth. She has no prior...

Question

A 27-year-old woman develops severe insomnia, agitation, persecutory delusions and auditory hallucinations 1 week after giving birth. She has no prior psychiatric history. What is the most appropriate management?

Accepted Answer

Arrange urgent psychiatric admission, preferably to a mother-baby unit, and commence antipsychotic treatment

Answer

Treat with low-dose benzodiazepines at home

Answer

Start SSRI and review in a month

Answer

Provide reassurance about baby blues

Answer

Schedule outpatient counselling only

au-acem MCQ (SBA): Postpartum psychosis

A 27-year-old woman develops severe insomnia, agitation, persecutory delusions and auditory hallucinations 1 week after giving birth. She has no prior psychiatric history. What is the most appropriate management?